Total Joint Center of Excellence Scorecard
Advanced Comprehensive Joint Certification Measures 2025/26 Inpatient
Patients who are able to walk on the same day as surgery have faster recovery. This is a measurement of hip/knee replacement patients with documented walking on the day of surgery as a percent of all hip/knee replacement patients.
THKR-1 Regional Anesthesia
| |
Goal |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
Feb '26 |
Mar '26 |
Apr '26 |
May '26 |
June '26 |
July '26 |
Aug '26 |
| Hip |
90% |
N/A |
N/A |
N/A |
N/A |
100% |
100% |
N/A |
N/A |
N/A |
100% |
N/A |
N/A |
| Knee |
90% |
100% |
N/A |
100% |
100% |
N/A |
N/A |
100% |
100% |
N/A |
100% |
N/A |
N/A |
| Overall |
90% |
100% |
N/A |
100% |
100% |
100% |
100% |
100% |
100% |
N/A |
100% |
N/A |
N/A |
THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU
| |
Goal |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
Feb '26 |
Mar '26 |
Apr '26 |
May '26 |
June '26 |
July '26 |
Aug '26 |
| Hip |
90% |
N/A |
N/A |
N/A |
N/A |
100% |
100% |
N/A |
N/A |
N/A |
100% |
N/A |
N/A |
| Knee |
90% |
0% |
N/A |
100% |
100% |
N/A |
N/A |
100% |
0% |
N/A |
100% |
N/A |
N/A |
| Overall |
90% |
0% |
N/A |
100% |
100% |
100% |
100% |
100% |
0% |
N/A |
100% |
N/A |
N/A |
THKR-3 Discharged to Home
| |
Goal |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
Feb '26 |
Mar '26 |
Apr '26 |
May '26 |
June '26 |
July '26 |
Aug '26 |
| Hip |
90% |
N/A |
N/A |
N/A |
N/A |
100% |
100% |
N/A |
N/A |
N/A |
100% |
N/A |
N/A |
| Knee |
90% |
100% |
N/A |
100% |
0% |
N/A |
N/A |
100% |
0% |
N/A |
100% |
N/A |
N/A |
| Overall |
90% |
100% |
N/A |
100% |
0% |
100% |
100% |
100% |
0% |
N/A |
100% |
N/A |
N/A |
THKR-4 Preoperative Functional/Health Status Assessment
| |
Goal |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
Feb '26 |
Mar '26 |
Apr '26 |
May '26 |
June '26 |
July '26 |
Aug '26 |
| Hip |
90% |
N/A |
N/A |
N/A |
N/A |
0% |
100% |
N/A |
N/A |
N/A |
100% |
N/A |
N/A |
| Knee |
90% |
100% |
N/A |
100% |
100% |
N/A |
N/A |
100% |
100% |
N/A |
100% |
N/A |
N/A |
| Overall |
90% |
100% |
N/A |
100% |
100% |
0% |
100% |
100% |
100% |
N/A |
100% |
N/A |
N/A |
THKR-5 Postoperative Functional/Health Status Assessment
| |
Goal |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
Feb '26 |
Mar '26 |
Apr '26 |
May '26 |
June '26 |
July '26 |
Aug '26 |
| Hip |
80% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
- |
- |
- |
- |
| Knee |
80% |
100% |
0% |
100% |
N/A |
100% |
N/A |
N/A |
N/A |
- |
- |
- |
- |
| Overall |
80% |
100% |
0% |
100% |
N/A |
100% |
N/A |
N/A |
N/A |
- |
- |
- |
- |
*From 11/25 to include ambulation on day of surgery.
Advanced Comprehensive Joint Certification Measures 2025/26 Outpatient
THKR-1 Regional Anesthesia
| |
Goal |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
Feb '26 |
Mar '26 |
Apr '26 |
May '26 |
June '26 |
July '26 |
Aug '26 |
| Hip |
90% |
100% |
92% |
100% |
95% |
93% |
100% |
100% |
100% |
92% |
89% |
92% |
83% |
| Knee |
90% |
96% |
96% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
| Overall |
90% |
98% |
95% |
100% |
98% |
98% |
100% |
100% |
100% |
97% |
96% |
97% |
92% |
THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU
| |
Goal |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
Feb '26 |
Mar '26 |
Apr '26 |
May '26 |
June '26 |
July '26 |
Aug '26 |
| Hip |
90% |
55% |
67% |
92% |
84% |
86% |
92% |
92% |
90% |
92% |
95% |
92% |
94% |
| Knee |
90% |
74% |
92% |
95% |
95% |
86% |
90% |
100% |
100% |
90% |
83% |
90% |
80% |
| Overall |
90% |
65% |
84% |
93% |
90% |
86% |
91% |
95% |
95% |
91% |
88% |
91% |
87% |
THKR-3 Discharged to Home
| |
Goal |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
Feb '26 |
Mar '26 |
Apr '26 |
May '26 |
June '26 |
July '26 |
Aug '26 |
| Hip |
90% |
100% |
100% |
96% |
100% |
93% |
100% |
96% |
100% |
100% |
100% |
100% |
94% |
| Knee |
90% |
100% |
92% |
100% |
100% |
93% |
95% |
100% |
88% |
100% |
83% |
100% |
95% |
| Overall |
90% |
100% |
95% |
98% |
100% |
93% |
97% |
98% |
95% |
100% |
90% |
100% |
95% |
THKR-4 Preoperative Functional/Health Status Assessment
| |
Goal |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
Feb '26 |
Mar '26 |
Apr '26 |
May '26 |
June '26 |
July '26 |
Aug '26 |
| Hip |
90% |
100% |
100% |
96% |
89% |
86% |
100% |
100% |
95% |
92% |
92% |
92% |
94% |
| Knee |
90% |
100% |
85% |
95% |
95% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
| Overall |
90% |
100% |
89% |
96% |
93% |
95% |
100% |
100% |
97% |
97% |
97% |
97% |
97% |
THKR-5 Postoperative Functional/Health Status Assessment
| |
Goal |
Sep '25 |
Oct '25 |
Nov '25 |
Dec '25 |
Jan '26 |
Feb '26 |
Mar '26 |
Apr '26 |
May '26 |
June '26 |
July '26 |
Aug '26 |
| Hip |
80% |
55% |
42% |
31% |
45% |
26% |
33% |
28% |
17% |
- |
- |
- |
- |
| Knee |
80% |
23% |
24% |
37% |
28% |
39% |
30% |
21% |
17% |
- |
- |
- |
- |
| Overall |
80% |
35% |
31% |
35% |
35% |
31% |
32% |
23% |
17% |
- |
- |
- |
- |
*From 11/25 to include ambulation on day of surgery.